Individual provider Active NPI

Jeffrey Allen Bayne, MS, NCC

  • Mental Health Counselor
  • Cleveland, TN
National Provider Identifier
1407508401
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3505 Adkisson Dr NW Ste 165
Cleveland, TN 37312-6807
Phone
(423) 715-3904
Fax
(423) 473-6712
NPI assigned
Jan 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3505 Adkisson Dr NW Ste 165
Cleveland, TN 37312-6807

Mailing address

3505 Adkisson Dr NW Ste 165
Cleveland, TN 37312-6807
Phone (423) 715-3904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250505003159 TN Practitioner - Mental Health Counselor 0749707602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspring Therapy Services LLCGroup PAC ID 7012370109, 7 clinicians

Practice addresses (Care Compare)

6918 Shallowford Rd
Suite 317
Chattanooga, TN 37421-1783
Phone (423) 855-7977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Therapy Services, LLC CurrentSince May 1, 2025 Accepting new patients
Transitions Counseling LLC PastSince May 1, 2025 Accepting new patients

Locations

6918 Shallowford Rd
Ste 317
Chattanooga, TN 37421
Phone (423) 827-7695

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1407508401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 ADKISSON DR NW STE 165",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373126807",
            "telephone_number": "423-715-3904",
            "fax_number": "423-473-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 ADKISSON DR NW STE 165",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373126807",
            "telephone_number": "423-715-3904",
            "fax_number": "423-473-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYNE",
        "first_name": "JEFFREY",
        "middle_name": "ALLEN",
        "credential": "MS, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.